Approved for use
through 8/2003 under the condition that any subsequent submissions
for OMB review include an explanation of SSA's efforts to combine
under one OMB approval number the inter- net and hard copy versions
of this form. In addition, SSA must submit for PRA review any
amendments to the POC evaluation questions.
Inventory as of this Action
Requested
Previously Approved
08/31/2003
08/31/2003
4,700
0
0
1,175
0
0
0
0
0
SSA is developing an Internet
Representative Payee Report form (I623) to electronically report
use of benefit payments made on behalf of Social Security
beneficiaries and SSI recipients. During the projected 6-month POC,
participating organizations will use the Internet to complete and
file the representative payee report instead of using the paper
SSA-623. The information collected will be used to determine
whether the payments have been administered in the best interest of
the beneficiary.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.